Dubord, David Roger
Dubord, David Roger is an sole proprietor health care provider with primary practice located at 6001 W North Ave , Wauwatosa WI 53213-1527. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Dubord, David Roger can be contacted via phone (414) 771-8110.Contact Information
Primary practice address
6001 W North Ave
Wauwatosa WI 53213-1527
Phone: (414) 771-8110
Fax: (414) 771-7123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2488-057 | Wisconsin |
Profile Details
| NPI number | 1639191513 |
|---|---|
| LBN Legal business name | Dubord, David Roger |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jul 15th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639191513 | NPPES |
| Wisconsin | MEDICAID | 39768400 |
Popular Providers
-
Klusman, Lawrence Edward
10630 N Oak Hills Pkwy Ste B, Baton Rouge LA 70810-2859 -
Feher, Edward
170 Thomas Johnson Dr Ste 200, Frederick MD 21702-6200 -
Wiedel, Timothy C.
7251 W North Ave Suite 5, Wauwatosa WI 53213-1851 -
Mason, Douglas J
26540 Ace Ave Ste E-106 , Leesburg FL 34748-8279 -
Murphy, Keven
188 Granville Rd , North Granby CT 06060-1301 -
Hagen, Jody Lynn
2115 S Fremont Ave Ste 3000 , Springfield MO 65804-2215 -
Howieson, Diane B.
1020 Sw Taylor St Ste 720, Portland OR 97205-2512 -
Krupp, Gary J
2828 Chicago Ave South Suite 200, Minneapolis MN 55407-1320